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Low sperm count can happen due to hormonal imbalances, medical conditions, lifestyle factors, and more. If you're experiencing this issue, I recommend you to consult a urologist or a fertility specialist. 

If there's pain in the upper part of your left testicle, it's possible you could have epididymitis, which is inflammation of the epididymis. It's important to see a urologist for proper diagnosis and treatment.

Freque­nt urination and back pain may indicate a urinary tract infection (UTI). UTIs occur when bacte­ria enter your bladder, re­sulting in discomfort, urgency, and potential sexual difficultie­s. Consuming significant water and seeking me­dical antibiotics proves highly beneficial. De­laying treatment risks exace­rbating symptoms, so proactively address this health conce­rn with a urologist.

The effects of Viagra can last up to 2-3 hours. Sometimes it could take longer to get out of your body, usually 5-6 hours depending on your metabolism. If you have taken a bigger dose, it takes even longer for the drug to leave your system. You should see a doctor in case of any doubts or signs of side effects. You could see urologist for further evaluation or treatment.
 

One of the causes of pain may be a hernia, a testicular injury inflammation, or testicular torsion. It is wise that you visit a urologist properly for a diagnosis and treatment. Kindly schedule a urology appointment as soon as the pain remains or worsens to avoid any problems from getting more serious.